韧带修复术对踝关节骨折合并三角韧带损伤患者骨代谢、促进恢复的作用分析
Analysis of the effect of ligament repair surgery on bone metabolism and recovery in patients with ankle fractures and deltoid ligament injuries
许锦涛 1崔晓赟 1张成勇 1赵军 1程明 2唐玉琦2
作者信息
- 1. 成都市龙泉驿区中医医院骨科,四川 成都 610100
- 2. 成都市金牛区人民医院康复科,四川 成都 610036
- 折叠
摘要
目的 探讨韧带修复术对踝关节骨折合并三角韧带损伤患者骨代谢、促进恢复的作用.方法 选择 2019 年 1月至2022 年1 月成都市龙泉驿区中医医院骨科收治的111 例踝关节骨折合并三角韧带损伤患者,采用随机数表法分为试验组(n=56)和对照组(n=55).对照组给予切开复位钢板内固定术治疗,试验组加用韧带修复术治疗.比较两组术后恢复率、骨代谢、踝关节活动情况、临床评分变化情况及不良反应发生情况.结果 术后试验组踝关节功能恢复优良率高于对照组(P<0.05);治疗后两组骨代谢及临床评分均改善,且试验组改善程度优于对照组(P<0.05);两组外翻角、外翻力度均升高,踝关节内侧间隙降低,且试验组优于对照组(P<0.05);两组不良反应比较差异无统计学意义(P>0.05).结论 在踝关节骨折合并三角韧带损伤中应用韧带修复术疗效显著,可有效改善患者骨代谢、促进恢复.
Abstract
Objective To investigate the effect of ligament repair surgery on bone metabolism and recovery in patients with ankle fracture complicated with deltoid ligament injury.Methods One hundred and eleven patients with ankle fracture and triangular ligament injury admitted to the Department of Orthopedics,Longquanyi District Hospital of Traditional Chinese Medicine from January 2019 to January 2022 were selected.The patients were divided into an experimental group(n=56)and a control group(n=55)by random number table method.The control group was treated with open reduction plate internal fixation.The experimental group was treated with ligament repair surgery.The postoperative recovery rate,bone metabolism,ankle joint activity,clinical score changes and adverse reactions were compared between the two groups.Results After surgery,the excellent and good recovery rate of ankle joint function in the experimental group were higher than those in the control group(P<0.05).After treatment,bone metabolism and clinical scores were improved in both groups,and the improvement in the experimental group was better than that in the control group(P<0.05).The valgus angle and valgus strength were increased and the medial ankle joint gap was decreased in both groups,and the experimental group was better than the control group(P<0.05).There was no significant difference in advance reaction between the two groups(P>0.05).Conclusions The application of ligament repair surgery in ankle fractures combined with deltoid ligament injuries has significant effects.It can effectively improve the patient's bone metabolism and promote the recovery.
关键词
韧带修复术/踝关节骨折/三角韧带损伤/骨代谢/促进恢复Key words
Ligament repair surgery/Ankle fracture/Deltoid ligament injury/Bone metabolism/Promote recovery引用本文复制引用
基金项目
四川省科技厅重点研发计划(2020YFS0416)
成都市金牛区医学会科研项目(JNKY2021-24)
出版年
2024
NETL
NSTL
万方数据